Provider Demographics
NPI:1295489185
Name:ZIRBEL, CAROLINE PEARSON (CPNP)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:PEARSON
Last Name:ZIRBEL
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:CRAFT
Other - Last Name:PEARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP
Mailing Address - Street 1:682 SUNSTEDE DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-5537
Mailing Address - Country:US
Mailing Address - Phone:404-909-3343
Mailing Address - Fax:
Practice Address - Street 1:350 WINN WAY
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-2106
Practice Address - Country:US
Practice Address - Phone:404-508-1177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN249580363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics